2020-11-05T13:30:41-06:00 2019-12-31 061386456 T M BYXBEE COMPANY PC P O BOX 187169 HAMDEN CT 06518 990 2019-01-01 060681161 CONNECTICUT LABORERS' HEALTH FUND CONN 2039347991 435 CAPTAIN THOMAS BOULEVARD WEST HAVEN CT 06516 DIANE KLOBUKOWSKI EXECUTIVE DIRECTOR 2039347991 2020-11-02 1 PAMELA J MATOCHA P00572001 2032814933 52.177.201.116 2020-11-02 09:53:55 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 2019 2021-04-22 16:20:28Z DIANE KLOBUKOWSKI 435 CAPTAIN THOMAS BOULEVARD WEST HAVEN CT 06516 60699819 0 X N/A X 1984 CT TO PROVIDE MEDICAL, LIFE AND RELATED BENEFITS TO INDIVIDUALS WORKING UNDER THE TERMS OF A COLLECTIVE BARGAINING AGREEMENT WITH THE LABORERS UNION IN CONNECTICUT. 8 8 17 0 0 0 0 0 55038865 56401738 1210173 719986 62688 54087 56311726 57175811 0 0 54737240 55636166 858855 800504 0 0 0 732066 687896 56328161 57124566 -16435 51245 66554956 73059931 1649478 1583609 64905478 71476322 TO PROVIDE MEDICAL, LIFE, AND RELATED BENEFITS TO INDIVIDUALS WORKING UNDER THE TERMS OF A COLLECTIVE BARGAINING AGREEMENT WITH THE LABORERS UNION IN CONNECTICUT. 0 0 PROVIDE MEDICAL, LIFE, AND OTHER RELATED BENEFITS TO COVERED EMPLOYEES AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 17 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DIANE KLOBUKOWSKI 2039347991 435 CAPTAIN THOMAS BOULEVARD WEST HAVEN CT 06516 JOHN MASTRIANO TRUSTEE 0.50 X 0 0 0 STEVEN JENKINS TRUSTEE 0.50 X 0 0 0 PETER PEREZ TRUSTEE 0.50 X 0 0 0 KEITH BROTHERS TRUSTEE 0.50 X 0 0 0 JOHN BRUNALLI TRUSTEE 0.50 X 0 0 0 LOY EDWARD HOYLE TRUSTEE 0.50 X 0 0 0 SHAWN GASKA TRUSTEE 0.50 X 0 0 0 VINCENT GIORDANO III TRUSTEE 0.50 X 0 0 0 DIANE KLOBUKOWSKI EXEC. DIR. 40.00 X 202626 0 72837 CRAIG TAYLOR IT MANAGER 40.00 X 118209 0 53267 320835 0 126104 2 0 1 0 0 CONTRIBUTIONS - EMPLOYERS 900099 48502233 48502233 CONTRIBUTIONS - SELF-PAY 900099 7899505 7899505 56401738 243994 243994 4000000 3524008 475992 475992 475992 ADMINISTRATIVE INCOME 900099 54047 54047 MISCELLANEOUS INCOME 900099 40 40 54087 57175811 56401738 0 774073 55636166 454364 105208 189576 51356 76033 64008 28894 182024 142426 62543 3459 26079 45383 REPAIRS AND MAINTENANCE 34625 PROPERTY TAXES 18597 AUTO 3825 57124566 9213035 7943524 85957 67982 557180 225222 338580 331958 6675496 7490623 44713697 51138106 5528191 6087738 66554956 73059931 515123 458757 1134355 1124852 1649478 1583609 X 0 0 0 0 64905478 71476322 64905478 71476322 66554956 73059931 51245 6519599 0 X 0 1 X 0 0 557180 225222 331958 331958 MACKAY SHIELDS CORE FIXED INCOME FUND LIMITED PARTNERSHIP 38502665 F STATE STREET S&P 500 INDEX NL COLLECTIVE TRUST 12635441 F 51138106 CONTRIBUTION RECEIVABLE 4877426 OTHER RECEIVABLES 1210312 6087738 DUE TO AFFILIATED FUNDS 1124852 1124852 63695410 6519599 6519599 57175811 0 57175811 57124566 0 57124566 0 57124566 1 X X X 0 0 0 DIANE KLOBUKOWSKI EXEC. DIR. 202626 0 0 0 0 0 52186 0 20651 0 275463 0 0 0 CRAIG TAYLOR IT MANAGER 118209 0 0 0 0 0 32616 0 20651 0 171476 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B COPIES OF THE FORM 990 ARE DISTRIBUTED TO BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR A COPY OF THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED TO EACH TRUSTEE AND KEY EMPLOYEE. ON AN ANNUAL BASIS, EACH TRUSTEE AND KEY EMPLOYEE SIGN A STATEMENT THAT THEY RECEIVED, UNDERSTAND AND WILL ABIDE BY THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REVIEWS THE COMPENSATION LEVELS FOR EXECUTIVE DIRECTORS OF COMPARABLE FUNDS TO HELP DETERMINE THE COMPENSATION OF ITS OWN EXECUTIVE DIRECTOR. JOB PERFORMANCE IS ALSO EVALUATED AND USED TO DETERMINE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 INFORMATION AVAILABLE UPON REQUEST. HOWEVER, INFORMATION IS NOT AVAILABLE TO THE PUBLIC. INFORMATION IS ONLY AVAILABLE TO PLAN PARTICIPANTS AND SIGNATORY EMPLOYERS UPON REQUEST. 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